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BASSO FAMILY LLC NPI 1245975614


NPI Information

NPI: 1245975614
Provider Name: BASSO FAMILY LLC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2821 N BALLAS RD STE C15
SAINT LOUIS, MO
ZIP 63131
Phone: (314) 394-8580
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BASSO FAMILY LLC is a podiatrist in Saint Louis, MO. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BASSO FAMILY LLC NPI is 1245975614. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2821 N BALLAS RD STE C15
SAINT LOUIS, MO
ZIP 63131-300
Phone: (314) 394-8580
Fax: (314) 983-9650

The provider's authorized official is Douglas Kipp Basso .
The authorized official title is Chief Officer and has the following contact phone number (618) 578-8667.

The enumeration date for this NPI number is 4/30/2022 and was last updated on 11/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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